Astanga Hrudaya
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हरेद्बहूंश्चलान् दोषानल्पानल्पान् पुनःपुनः। दुर्बलस्य मृदुद्रव्यैरल्पान् संशमयेत्तु तान्॥५१॥
Large dose given once creates doubt of death; The drug in small and repeated doses will eliminate the circulating Doshas little by little; in a weak person, little quantity of Doshas should only be mitigated by mild drugs, they need not be expelled out by purification therapies .
english translation
क्लेशयन्ति चिरं ते हि हन्युर्वैनमनिर्हृताः। मन्दाग्निं क्रूरकोष्ठं च सक्षारलवणैर्घृतैः॥५२॥
Doshas which are more in quantity trouble the person greatly and even kill him, if not expelled out- by purification therapies. Person who have weak digestion strength, Krura koshta – hard bowels (hard natured alimentary tract), should be administered ghee processed with Kshara and Lavana (Alkalis and salts),
english translation
सन्धुक्षिताग्निं विजितकफवातं च शोधयेत्। रूक्षवह्वनिलक्रूरकोष्ठव्यायामशीलिनाम्॥५३॥
to Augment his digestive capacity and Vanquish Kapha and Vata; afterwards he should be given purification therapies. In persons who are Rooksha (dry), who have great increase of Vata, who have hard natured Alimentary tract (Krura koshta),
english translation
दीप्ताग्नीनां च भैषज्यमविरेच्यैव जीर्यति। तेभ्यो बस्तिं पुरा दद्यात्ततः स्निग्धं विरेचनम्॥५४॥
who do exercise regularly and who have strong digestion strength, the purgative drug gets digested without producing purgation; for them, an enema should be given first and then purgative drug which is Snigdha – (unctuous, oily) should be given ;
english translation
शकृन्निर्हृत्य वा किञ्चित्तीक्ष्णाभिः फलवर्तिभिः। प्रवृत्तं हि मलं स्निग्धो विरेको निर्हरेत्सुखम्॥५५॥
or the faeces should be removed first by using a strong rectal suppository made from fruits; the Doshas thus initiated in their movement, the purgative drug expels them easily.
english translation